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RMRT Therapeutic Riding Waitlist
Please note that Therapeutic Riding Program has a 2 - 2.5 year wait. We will contact you as soon as a spot become available!
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Name of Rider (First and Last)
*
Your answer
Name of Contact Person (if different than rider)
Your answer
Email Address of Contact Person
*
Your answer
Phone Number of Contact Person
Your answer
Diagnosis/Needs of Rider
*
Your answer
Age of Rider
*
Your answer
Weight of Rider (
for their health, all of our horses have limits on how much they can carry)
Your answer
Additional Information that We Should Know
Your answer
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